Stage IIB osteogenic sarcoma Journal Article


Authors: Glasser, D. B.; Lane, J. M.
Article Title: Stage IIB osteogenic sarcoma
Abstract: Two hundred seventy-one consecutive patients treated from 1976 through 1986 were reviewed to estimate long-term survival. Disease-free survival for the entire cohort was 77% at five years and 74% at ten years. Humeral lesions had the best probability of survival (84% at ten years), followed by tibial lesions (81%) and femoral lesions (67%). Histologic response to preoperative chemotherapy was the strongest predictor of outcome. Those with little response had a survival estimate of 54% at ten years as compared to 68% for partial responders and approximately 90% for complete responders. Local recurrence was seen in 6.6% and was associated with an adverse effect on survival. Only two of the 18 patients with local recurrence have been rendered long-term disease-free survivors.
Keywords: osteosarcoma; adolescent; adult; cancer chemotherapy; cancer survival; child; bone neoplasms; child, preschool; survival analysis; humerus; limb salvage; survival rate; major clinical study; cancer recurrence; doxorubicin; cancer adjuvant therapy; postoperative care; preoperative care; combined modality therapy; methotrexate; cancer staging; neoplasm staging; cohort studies; neoplasm recurrence, local; antineoplastic combined chemotherapy protocols; cyclophosphamide; predictive value of tests; clinical protocols; dactinomycin; amputation; bleomycin; new york city; femur; tibia; osteotomy; limb amputation; middle age; human; male; female; priority journal; article; support, non-u.s. gov't; support, u.s. gov't, p.h.s.
Journal Title: Clinical Orthopaedics and Related Research
Volume: 270
ISSN: 0009-921X
Publisher: Springer  
Date Published: 1991-09-01
Start Page: 29
End Page: 39
Language: English
PUBMED: 1715819
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 27 September 2019 -- Source: Scopus
Citation Impact
MSK Authors
  1. Joseph M. Lane
    66 Lane
  2. Dale B. Glasser
    14 Glasser